CN204745325U - Transfusion system in bone - Google Patents
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- CN204745325U CN204745325U CN201520285688.2U CN201520285688U CN204745325U CN 204745325 U CN204745325 U CN 204745325U CN 201520285688 U CN201520285688 U CN 201520285688U CN 204745325 U CN204745325 U CN 204745325U
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- 210000000988 bone and bone Anatomy 0.000 title description 6
- 238000001802 infusion Methods 0.000 claims abstract description 38
- 235000013351 cheese Nutrition 0.000 claims 1
- 230000007547 defect Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 description 5
- 230000009286 beneficial effect Effects 0.000 description 3
- 210000001185 bone marrow Anatomy 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 230000018044 dehydration Effects 0.000 description 2
- 238000006297 dehydration reaction Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 206010010904 Convulsion Diseases 0.000 description 1
- 206010017076 Fracture Diseases 0.000 description 1
- 208000032456 Hemorrhagic Shock Diseases 0.000 description 1
- 206010030113 Oedema Diseases 0.000 description 1
- 206010049771 Shock haemorrhagic Diseases 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000002637 fluid replacement therapy Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 238000010079 rubber tapping Methods 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
本实用新型涉及一种医护器械,具体是一种骨内输液器,包括手柄、空心针管和针芯,所述手柄固定于针芯尾端,针芯套入空心针管内,骨内输液器还包括针帽和挡块,挡块固定在针芯上,使针芯形成针芯前端和针芯后端两部分,空心针管与挡块连接;针帽中心有通孔,套接在针芯后端上;挡块限制针帽位置,使针帽沿针芯在手柄与挡块之间移动。本实用新型的穿刺针在现有技术基础上增加了针帽和挡块,针帽可以在手柄和挡块之间调节垂直的位置,给医护人员增加了一个可以调节并脱离空心针管的扶持点,克服了锤击方式穿刺没有扶持位置的缺陷。
The utility model relates to a medical device, in particular to an intraosseous infusion set, which comprises a handle, a hollow needle tube and a needle core, the handle is fixed at the tail end of the needle core, the needle core is inserted into the hollow needle tube, and the intraosseous infusion set is also Including needle cap and stopper, the stopper is fixed on the needle core, so that the needle core forms two parts, the front end of the needle core and the rear end of the needle core, and the hollow needle tube is connected with the stopper; there is a through hole in the center of the needle cap, which is sleeved behind the needle core On the end; the stopper restricts the position of the needle cap, so that the needle cap moves along the needle core between the handle and the stopper. The puncture needle of the utility model adds a needle cap and a stopper on the basis of the prior art, the needle cap can adjust the vertical position between the handle and the stopper, and adds a supporting point that can be adjusted and separated from the hollow needle tube for the medical staff , Overcoming the defect of no supporting position for puncturing by hammering.
Description
技术领域technical field
本实用新型涉及一种医护器械,具体是一种骨内输液器。The utility model relates to a medical device, in particular to an intraosseous infusion set.
背景技术Background technique
临床上进行紧急抢救时所采用的液体复苏或输入药物的途径主要有静脉、动脉和骨内三种方式,其中骨内输液主要用于紧急状态为重病人的抢救,如呼吸心跳骤停、严重创伤失血性休克、重度脱水、婴幼儿严重脱水等患者,这类患者由于大量的失血失液导致静脉塌陷而无法快速、有效地建立血管急救通道;此外,在严重水肿、严重烧伤、威胁生命的癫痫发作、晃动的救护车或直升机、光线暗淡等操作困难的情况下,骨内输液具有操作简便、快速有效地优势,能及时建立起输液通道,并应用抢救药物甚至输注血浆、浓缩血细胞等,为抢救病人赢得宝贵时间。There are mainly three ways of fluid resuscitation or drug infusion in clinical emergency rescue, including vein, artery and intraosseous infusion. Patients with traumatic hemorrhagic shock, severe dehydration, and severe dehydration in infants and young children. Such patients cannot quickly and effectively establish vascular emergency channels due to massive blood loss and fluid loss leading to venous collapse; in addition, severe edema, severe burns, and life-threatening In difficult situations such as epileptic seizures, shaking ambulances or helicopters, and dim light, intraosseous infusion has the advantages of simple operation, rapid and effective operation, and can establish an infusion channel in time, and apply rescue drugs and even infuse plasma, concentrated blood cells, etc. , Win precious time for rescuing patients.
目前常见的穿刺手段是手动旋转穿刺和利用弹簧或电动装置自动穿刺。但手动旋转方式对于较硬的骨质不易穿刺,有一定的局限性。而自动穿刺装置难以控制触发器力度,由于人体的骨质不一样,深度范围也难以控制,自动式穿刺容易导致穿刺复杂化,增加手术难度,导致穿刺针失败,甚至出现骨折和断针的风险。近来发现,锤击穿刺的方法在临床上具有较好的应用前景,不仅适用各种骨质,而且有利于医疗人员控制穿刺力度。The common puncture means are manual rotation puncture and automatic puncture by spring or electric device. However, the manual rotation method has certain limitations for hard bone that is difficult to puncture. However, the automatic puncture device is difficult to control the force of the trigger. Due to the different bone quality of the human body, the depth range is also difficult to control. Automatic puncture will easily lead to complicated puncture, increase the difficulty of surgery, lead to the failure of the puncture needle, and even the risk of fracture and broken needle . Recently, it has been found that the method of hammering puncture has good clinical application prospects, not only applicable to various bone types, but also beneficial to medical personnel to control the puncture force.
然而,目前并没有适用于锤击穿刺方法的骨内输液针。专利申请号为“CN201342184Y”、申请号为“200920079005.2”、名称为“手动骨内输液针”的实用新型公开了一种常用的骨内输液针,包括手动驱动器和穿刺针,穿刺针为套管针结构,包括穿刺针管和穿刺针芯两部分组成。穿刺针管为空心结构,穿刺针芯为实心体,位于穿刺针管的空腔内,穿刺针芯的针头尖端穿出穿刺针管的尖端与穿刺针管的尖端紧密衔接,穿刺针管的底座和穿刺针芯的底座通过螺旋接口紧密连接。当使用这种常用的输液针通过锤击方式穿入时,(1)、由于没有扶持点,医疗人员一般仅能扶持空心针管,在锤击过程中,空心针管受到的冲击会影响医疗人员的操作;(2)、空心针管表面易打滑。(3)、扶持位置无法调控,医护人员扶持点通常根据个人习惯而定,空心针管可提供的扶持位置有限且单一,影响穿刺的效率和成功率。另外,对于锤击方式穿刺的穿刺针对限制针芯进入位置也是必不可少的。现有穿刺针无法满足以上要求。However, there is currently no intraosseous infusion needle suitable for the hammer puncture method. The patent application number is "CN201342184Y", the application number is "200920079005.2", and the utility model named "manual intraosseous infusion needle" discloses a commonly used intraosseous infusion needle, including a manual driver and a puncture needle, and the puncture needle is a cannula The needle structure consists of two parts, the puncture needle tube and the puncture needle core. The puncture needle tube is a hollow structure, and the puncture needle core is a solid body, which is located in the cavity of the puncture needle tube. The base is tightly connected by a screw interface. When using this commonly used infusion needle to penetrate through hammering, (1), because there is no supporting point, medical personnel can generally only support the hollow needle tube. During the hammering process, the impact of the hollow needle tube will affect the medical personnel's operation; (2), the surface of the hollow needle tube is easy to slip. (3) The support position cannot be adjusted. The support point of the medical staff is usually determined according to personal habits. The support position provided by the hollow needle tube is limited and single, which affects the efficiency and success rate of puncture. In addition, puncture for hammer-style puncture is also essential to limit the entry point of the stylet. Existing puncture needles cannot meet the above requirements.
现亟需一种可以适用于锤击方式穿刺的骨内输液器。There is an urgent need for an intraosseous infusion set suitable for puncturing by hammering.
实用新型内容Utility model content
本实用新型的目的在于克服现有技术的不足,提供一种利于锤击穿刺的骨内输液器,使之能够在锤击穿刺时有稳定、能够调节的扶持位置,且扶持位置不受空心穿刺管穿入的影响,同时有效控制穿刺针深度。The purpose of this utility model is to overcome the deficiencies of the prior art, and provide an intraosseous infusion set that is beneficial to hammer puncture, so that it can have a stable and adjustable support position during hammer puncture, and the support position is not affected by hollow puncture. The effect of tube penetration, while effectively controlling the depth of the puncture needle.
为了达到上述目的,本实用新型提供了一种骨内输液器,包括手柄、空心针管和针芯,所述手柄固定于针芯尾端,针芯套入空心针管内,还包括针帽和挡块,挡块固定在针芯上,使针芯形成针芯前端和针芯后端两部分,空心针管与挡块连接;针帽中心有通孔,套接在针芯后端上;挡块限制针帽位置,使针帽沿针芯在针芯后端移动。In order to achieve the above purpose, the utility model provides an intraosseous infusion set, which includes a handle, a hollow needle tube and a needle core, the handle is fixed on the tail end of the needle core, the needle core is inserted into the hollow needle tube, and a needle cap and a stopper are also included. block, the stopper is fixed on the needle core, so that the needle core forms two parts, the front end of the needle core and the rear end of the needle core, and the hollow needle tube is connected to the stopper; there is a through hole in the center of the needle cap, which is sleeved on the rear end of the needle core; the stopper Limit the position of the needle cap so that the needle cap moves along the needle core at the rear end of the needle core.
针帽在针芯上调节位置的方式为机械领域常用的手段,包括滑道等,优选的,针帽通孔有内螺纹,针芯后端有外螺纹,针帽和针芯通过螺纹连接。针帽通过旋转在调整针芯上的垂直位置。The way of adjusting the position of the needle cap on the needle core is a common means in the mechanical field, including slideways, etc. Preferably, the through hole of the needle cap has an internal thread, the rear end of the needle core has an external thread, and the needle cap and the needle core are connected by threads. The needle cap adjusts the vertical position on the needle core by rotating.
所述的针芯前端是指针芯上挡块到针尖的部分,所述的针芯后端是指挡块到手柄之间的部分。文中其他部分所指的前部是指靠近针芯针尖方向,后部是指背离针尖的方向。The front end of the needle core is the part from the stopper to the needle tip on the pointer core, and the rear end of the needle core is the part between the stopper and the handle. The front part referred to in other parts of the text refers to the direction close to the needle point of the needle core, and the rear part refers to the direction away from the needle point.
所述的针帽底部有柱形空腔,空腔内径大于空心针管的外径。在针帽上下移动时,可容纳空心针管在内腔中,使针帽有较长的移动范围。There is a cylindrical cavity at the bottom of the needle cap, and the inner diameter of the cavity is larger than the outer diameter of the hollow needle tube. When the needle cap moves up and down, the hollow needle tube can be accommodated in the inner cavity, so that the needle cap has a longer moving range.
骨内输液器上设置限位器,限位器为锥形,底面有凹陷,固定于空心针管上。骨内输液器的限位器设置在空心针管上,在输液完成后,限位器还可以作为固定装置方便医护人员固定空心针管。A limiter is arranged on the intraosseous infusion set, the limiter is conical, has a depression on the bottom surface, and is fixed on the hollow needle tube. The stopper of the intraosseous infusion set is arranged on the hollow needle tube, and after the infusion is completed, the stopper can also be used as a fixing device to facilitate medical staff to fix the hollow needle tube.
限位器还可以固定于针帽前端部,在调节针帽同时对限位器也可起到调节作用。The limiter can also be fixed on the front end of the needle cap, and the limiter can also be adjusted when the needle cap is adjusted.
优选的,所述的手柄主体为饼形,两侧连接有杆。手柄的饼形用于敲击,杆用于旋转输液器。Preferably, the main body of the handle is pie-shaped, with rods connected to both sides. The pie shape of the handle is for tapping and the stem is for rotating the infusion set.
优选的,针芯后端长度为15-25mm。Preferably, the length of the rear end of the core is 15-25mm.
优选的,所述的空心针管上有渗液孔,防止针管前端阻塞,并增加输液的速度,实现临床上抢救休克病人快速输液的目的。Preferably, the hollow needle tube has a seepage hole to prevent the front end of the needle tube from being blocked, and increase the speed of infusion, so as to achieve the purpose of rapid infusion in clinical rescue of shock patients.
优选的,所述的针帽外表面有若干个凸棱。增加针帽摩擦力,有利于扶持的稳定性。Preferably, the outer surface of the needle cap has several convex ribs. Increase the friction of the needle cap, which is conducive to the stability of the support.
优选的,所述的挡块与空心针管通过螺纹连接。Preferably, the stopper is connected with the hollow needle through thread.
本实用新型的穿刺针在现有技术基础上增加了针帽和挡块,针帽可以在手柄和挡块之间调节垂直的位置,给医护人员增加了一个可以调节并脱离空心针管的扶持点,克服了锤击方式穿刺的没有扶持位置的缺点。限位器可以有效控制穿刺深度,防止穿刺过渡。The puncture needle of the utility model adds a needle cap and a stopper on the basis of the prior art, the needle cap can adjust the vertical position between the handle and the stopper, and adds a supporting point that can be adjusted and separated from the hollow needle tube for the medical staff , Overcoming the disadvantage of no supporting position for puncture by hammering. The limiter can effectively control the puncture depth and prevent puncture transition.
本实用新型的有益效果是,提供脱离空心针管的扶持位置,并能有效调节扶持位置,增加穿刺成功率,减轻患者负担和疼痛。The utility model has the beneficial effects of providing a supporting position away from the hollow needle tube, effectively adjusting the supporting position, increasing the success rate of puncture, and reducing the burden and pain of patients.
附图说明Description of drawings
图1为本实用新型的示意图;Fig. 1 is the schematic diagram of the utility model;
图2为本实用新型一种实施方式的剖视图;Fig. 2 is a sectional view of an embodiment of the utility model;
图3为本实用新型另一种实施方式的剖视图;Fig. 3 is a sectional view of another embodiment of the present utility model;
图4为本实用新型针芯的示意图;Fig. 4 is the schematic diagram of needle core of the present utility model;
其中:in:
1-手柄2-空心针管3-针芯1-handle 2-hollow needle tube 3-needle core
31-针芯后端32-针芯前端4-挡块31-rear end of needle core 32-front end of needle core 4-block
5-针帽6-限位器7-凸棱5-needle cap 6-limiter 7-raised edge
8-渗液孔8- seepage hole
具体实施方式Detailed ways
以下结合附图和具体实施例,对本实用新型做进一步说明。Below in conjunction with accompanying drawing and specific embodiment, the utility model is described further.
实施例1:Example 1:
根据图1、2、4所示的一种骨内输液器,包括空心针管2和针芯3。针芯3为实心体,一端有针尖,针芯3尾端固定手柄1,手柄1主体为饼形,两侧连接有杆。针芯3后端固定有挡块4,挡块4将针芯3分隔为针芯前端32和针芯后端31两部分,针芯后端31有外螺纹,挡块4为柱形,挡块4与空心针管2通过螺纹连接。骨内输液器还包括针帽5,针帽5中心有通孔,套接在针芯后端31,通孔直径小于挡块4的外径,挡块4限制针帽5的位置,通孔有内螺纹,针帽5套接在手柄1和挡块4之间的针芯3上,通过转动针帽5,调节针帽5的垂直距离。针帽5内有柱形空腔,柱形空腔内径大于空心针管2外径。空心针管2上有限位器6,限位器6为锥形并且底面凹陷。According to an intraosseous infusion set shown in FIGS. 1 , 2 and 4 , it includes a hollow needle tube 2 and a needle core 3 . The needle core 3 is a solid body with a needle point at one end, the handle 1 is fixed at the end of the needle core 3, the main body of the handle 1 is cake-shaped, and rods are connected on both sides. The rear end of the needle core 3 is fixed with a stopper 4. The stopper 4 divides the needle core 3 into two parts, the front end 32 of the needle core and the rear end 31 of the needle core. The rear end 31 of the needle core has external threads, and the stopper 4 is cylindrical. The block 4 is connected with the hollow needle tube 2 through threads. The intraosseous infusion set also includes a needle cap 5 with a through hole in the center of the needle cap 5, which is sleeved at the rear end 31 of the needle core. The diameter of the through hole is smaller than the outer diameter of the stopper 4, and the stopper 4 limits the position of the needle cap 5. There is an internal thread, and the needle cap 5 is sleeved on the needle core 3 between the handle 1 and the block 4, and the vertical distance of the needle cap 5 can be adjusted by rotating the needle cap 5. There is a cylindrical cavity inside the needle cap 5 , and the inner diameter of the cylindrical cavity is larger than the outer diameter of the hollow needle tube 2 . There is a stopper 6 on the hollow needle tube 2, and the stopper 6 is tapered and has a concave bottom surface.
实施例2:Example 2:
如图3所示的一种骨内输液器,其余同实施例1,所述的限位器6固定在针帽5的前端部。针芯后端31距离为20mm,空心针管2上无螺纹,且分布两个渗液孔8。针帽5外侧上有凸棱7。An intraosseous infusion set as shown in FIG. 3 , the others are the same as in Embodiment 1, and the stopper 6 is fixed on the front end of the needle cap 5 . The distance between the needle core rear end 31 is 20 mm, the hollow needle tube 2 has no threads, and two seepage holes 8 are distributed. There are ribs 7 on the outer side of the needle cap 5 .
实施例3:Example 3:
一种骨内输液器,使用时,将针芯3套入空心针管2后,空心针管2通过螺纹与挡块4连接。旋转针帽5可以调节针帽5在手柄1和挡块4之间移动,由于针帽5内有空腔且能容纳空心针管2,即便移动到挡块位置也不会受到限制。调整针帽5到合适的垂直位置后,医疗人员一手扶持针帽5另一手使用锤击工具敲击手柄1的饼形主体向骨面垂直刺入,当针尖接触骨质后,使骨内储液器穿刺骨质,通过旋转手柄1上的杆调整穿刺针,致骨髓腔时阻力消失直至限位器6扣致在皮肤上,此时松开持针手。固定穿刺针,拧下针芯3,通过手柄1上的柄拔出针芯。将空心针管2接注射器回抽,见到骨髓液证实在骨髓腔内,连接已排气的输血管进行输液。An intraosseous infusion set, when in use, after inserting a needle core 3 into a hollow needle tube 2, the hollow needle tube 2 is connected with a stopper 4 through threads. Rotating the needle cap 5 can adjust the needle cap 5 to move between the handle 1 and the stopper 4. Since the needle cap 5 has a cavity and can accommodate the hollow needle tube 2, it will not be restricted even if it moves to the stopper position. After adjusting the needle cap 5 to a proper vertical position, the medical staff supports the needle cap 5 with one hand and uses a hammering tool to strike the cake-shaped main body of the handle 1 with the other hand to penetrate vertically into the bone surface. The liquid device punctures the bone, and the puncture needle is adjusted by rotating the rod on the handle 1, and the resistance disappears when the bone marrow cavity is caused until the stopper 6 is buckled on the skin, and at this time, the needle-holding hand is released. Fix the puncture needle, unscrew the needle core 3, and pull out the needle core through the handle on the handle 1. Draw back the hollow needle tube 2 connected to the syringe, see that the bone marrow fluid is confirmed to be in the bone marrow cavity, and connect the exhausted blood transfusion tube for infusion.
以上已对本实用新型创造的较佳是实施例进行了具体说明,但本实用新型创造并不限于所述的实施例,熟悉本领域的技术人员在不违背本实用新型创造精神的前提下还可以作出种种的等同的变型或替换,这些等同变型或替换均包含在本申请权利要求所限定的范围内。The preferred embodiments of the utility model creation have been described in detail above, but the utility model creation is not limited to the described embodiments, and those skilled in the art can also Various equivalent modifications or replacements are made, and these equivalent modifications or replacements are all included within the scope defined by the claims of the present application.
Claims (10)
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CN115363711A (en) * | 2022-08-22 | 2022-11-22 | 上海玮启医疗器械有限公司 | Atrial septal puncture needle with adjustable needle tip extension length |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN115363711A (en) * | 2022-08-22 | 2022-11-22 | 上海玮启医疗器械有限公司 | Atrial septal puncture needle with adjustable needle tip extension length |
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